Maternal-Child Nursing
(NU 170) Exam 2 Comprehensive Study Quiz
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
Maternal-Child Nursing
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,Maternal-Child Nursing (NU 170) Exam 2 Comprehensive Study Quiz 2026/2027 UPDATE –
Galen
1. A client at 38 weeks gestation is admitted to the labor unit. The nurse performs a vaginal
exam and determines the cervix is 5 cm dilated and 75% effaced, and the fetus is at 0 station.
Which stage and phase of labor is the client experiencing?
A. First stage, latent phase
B. First stage, transition phase
C. Second stage, latent phase
D. First stage, active phase
Answer: D
Rationale: The first stage of labor is divided into latent (0-3 cm), active (4-7 cm), and
transition (8-10 cm) phases. Since the client is 5 cm dilated, she is in the active phase of the
first stage.
2. While monitoring a client in labor, the nurse notes late decelerations on the electronic fetal
monitoring strip. Which action should the nurse take first?
A. Administer oxygen via non-rebreather mask at 8-10 L/min
B. Increase the rate of the maintenance IV fluid
C. Reposition the client to a side-lying position
, D. Prepare for immediate vaginal delivery
Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority nursing
intervention is to reposition the client to the side to increase uterine blood flow, followed
by other intrauterine resuscitation measures like O2 and IVF bolus.
3. Which assessment finding in a client receiving Magnesium Sulfate for preeclampsia should
the nurse report to the provider immediately?
A. Deep tendon reflexes of 2+
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 40 mL per hour
D. Fetal heart rate of 140 bpm
Answer: B
Rationale: Magnesium toxicity causes central nervous system depression. A respiratory
rate below 12 breaths per minute, loss of DTRs, and decreased urine output (<30mL/hr)
are critical signs of toxicity.
4. A nurse is caring for a client who is in the second stage of labor. The nurse understands
that this stage ends with which event?
A. The birth of the newborn
B. Full cervical effacement
(NU 170) Exam 2 Comprehensive Study Quiz
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
Maternal-Child Nursing
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,Maternal-Child Nursing (NU 170) Exam 2 Comprehensive Study Quiz 2026/2027 UPDATE –
Galen
1. A client at 38 weeks gestation is admitted to the labor unit. The nurse performs a vaginal
exam and determines the cervix is 5 cm dilated and 75% effaced, and the fetus is at 0 station.
Which stage and phase of labor is the client experiencing?
A. First stage, latent phase
B. First stage, transition phase
C. Second stage, latent phase
D. First stage, active phase
Answer: D
Rationale: The first stage of labor is divided into latent (0-3 cm), active (4-7 cm), and
transition (8-10 cm) phases. Since the client is 5 cm dilated, she is in the active phase of the
first stage.
2. While monitoring a client in labor, the nurse notes late decelerations on the electronic fetal
monitoring strip. Which action should the nurse take first?
A. Administer oxygen via non-rebreather mask at 8-10 L/min
B. Increase the rate of the maintenance IV fluid
C. Reposition the client to a side-lying position
, D. Prepare for immediate vaginal delivery
Answer: C
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority nursing
intervention is to reposition the client to the side to increase uterine blood flow, followed
by other intrauterine resuscitation measures like O2 and IVF bolus.
3. Which assessment finding in a client receiving Magnesium Sulfate for preeclampsia should
the nurse report to the provider immediately?
A. Deep tendon reflexes of 2+
B. Respiratory rate of 10 breaths per minute
C. Urinary output of 40 mL per hour
D. Fetal heart rate of 140 bpm
Answer: B
Rationale: Magnesium toxicity causes central nervous system depression. A respiratory
rate below 12 breaths per minute, loss of DTRs, and decreased urine output (<30mL/hr)
are critical signs of toxicity.
4. A nurse is caring for a client who is in the second stage of labor. The nurse understands
that this stage ends with which event?
A. The birth of the newborn
B. Full cervical effacement
